Individual
KEITH BRYAN GUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4189 WESTLAWN S, IOWA CITY, IA 52242-1100
(319) 335-8370
(319) 335-7247
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-8370
(319) 335-7247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001170
IA
363A00000X
Physician Assistant
085-001376
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278374
—
IA
05
—
0563882
—
IA
01
—
421527584
TRI-CARE
—
05
—
421527584002
—
IL
01
—
42152758406
JOHN DEERE
—
Enumeration date
05/31/2005
Last updated
03/23/2023
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